Organization
JAVIC AVIATION, LLC
Active
Other names
Gero Psych Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL JAMES BOEKE MBA (MANAGING MEMBER)
(515) 297-4708
Entity
Organization
Contact information
Practice address
212 LAFAYETTE AVE, STORY CITY, IA 50248-1454
(515) 733-4325
Mailing address
1106 KAMEN DR, WEBSTER CITY, IA 50595-3501
(515) 297-4708
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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